足月妊娠引产采用COOK双球囊联合催产素的效果分析

Analyze the Clinical Effect of COOK Double Ballon and Oxytocin in the Induction of Full-Term Pregnancy

目的研究足月妊娠产妇采用COOK双球囊联合催产素引产的临床效果。方法临床纳入200例我院2014年10月~2015年10月进行引产的足月妊娠产妇作为研究对象,根据随机数字表方式分为两组,各100例。其中100例产妇仅使用催产素进行引产作为对照组,另100例产妇使用COOK双球囊联合催产素进行引产作为观察组。观察两组产妇宫颈成熟度、分娩情况以及分娩结局情况。结果引产前两组Bishop评分无差异(P>0.05);引产后观察组患者Bishop评分大于对照组,第一产程、第二产程时间短于对照组(均P<0.05)。观察组引产成功、顺产以及新生儿正常等分娩结局均优于对照组(P<0.05)。结论 COOK双球囊联合催产素对足月妊娠产妇引产效果较佳,显著提高顺产率,缩短产程,分娩结局良好,值得临床应用及推广。

Objective To study the clinical effect of COOK double ballon and oxytocin in the induction of full-term pregnancy. Methods 200 puerpera of adopting the induction of full-term pregnancy from October 2014 to October 2015 in our hospital were selected. The subjects were randomly divided into two groups, 100 cases each group. The control group just took the oxytocin; the observation group adopted the COOK double ballon and oxytocin. The cervical maturity, delivery condition and delivery outcome was observed. Results Before induction, the score of Bishop for two groups was not significantly different （P〉0.05）; after induction, the score of Bishop for observation group was higher than control group; the duration of the first and second labor stage for observation group was shorter than control group （P〈0.05）; the delivery outcome of successful induction, natural labor and normal newborns for observation group was better than control group （P〈0.05）. Conclusions The combined therapy of COOK double ballon and oxytocin has a better effect in the induction of full-term pregnancy, improves the rate of natural labor, shortens the labor stage and enhances the delivery outcome. It was worthy of clinical application and promotion.